| 弓蕊,何琳,白晓纯.体外冲击波疗法联合核心肌群训练对脑卒中后偏瘫患者康复效果的影响[J].中国康复,2026,41(5):269-274 |
| 体外冲击波疗法联合核心肌群训练对脑卒中后偏瘫患者康复效果的影响 |
| Rehabilitation effect of extracorporeal shock wave therapy combined with core muscle training on post-stroke hemiplegia patients |
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| DOI：10.3870/zgkf.2026.05.003 |
| 中文关键词: 体外冲击波疗法 核心肌群训练 脑卒中 偏瘫 |
| 英文关键词: extracorporeal shock wave therapy core muscle training stroke hemiplegia |
| 基金项目:河北省医学科学研究项目（20261324） |
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| 中文摘要: |
| 目的:观察体外冲击波疗法（ESWT）联合核心肌群训练（CMT）对脑卒中后偏瘫（PSH）患者康复效果的影响。方法：选择159例PSH患者按随机数字表法分为A组、B组、C组各53例，3组均给予常规康复治疗，在此基础上，A组给与ESWT治疗，B组给与CMT治疗，C组给与ESWT联合CMT治疗。治疗前及治疗4周后比较3组运动功能、平衡能力和跌倒效能、步行能力、美国国立卫生研究院卒中量表（NIHSS）、静脉血中脑源性神经营养因子（BDNF）、β淀粉样蛋白（Aβ）含量，比较3组治疗过程中的不良事件发生情况。结果：治疗后，C组的Fugl-Meyer上肢运动功能评定量表（FMA-UE）、FMA下肢运动功能评定量表（FMA-LE）、Berg平衡量表（BBS）、修正版跌倒效能量表（MFES）评分、患足着地角度、步频、步速、BDNF含量高于（或大于）A组、B组（均P＜0.05），NIHSS评分、Aβ含量低于A组、B组（均P＜0.05），A组和B组之间各项目比较差异无统计学意义。3组不良事件总发生率比较差异无统计学意义。结论：ESWT联合CMT可改善PSH患者运动功能、平衡能力、跌倒效能、步行能力，降低NIHSS评分，调节BDNF、Aβ含量，且未增加不良事件。 |
| 英文摘要: |
| Objective: To observe the rehabilitation effect of extracorporeal shock wave therapy (ESWT) combined with core muscle training (CMT) on post-stroke hemiplegia (PSH) patients. Methods: All 159 PSH patients admitted to our hospital were randomly assigned into group A (53 cases, undergoing ESWT), group B (53 cases, undergoing CMT), and group C (53 cases, undergoing ESWT combined with CMT) via a random number table. The motor function, balance ability and fall efficacy, walking ability, national institutes of health stroke scale (NIHSS), brain-derived neurotrophic factor (BDNF), amyloid beta (Aβ), and adverse events were compared. Results: After therapy, the scores of Fugl-Meyer assessment-upper limb (FMA-UE), FMA-lower limb (FMA-LE), Berg balance scale (BBS), modified fall efficacy scale (MFES), affected foot landing angle, step frequency, step speed, and BDNF in group C were increased as compared with those in group A and group B (all P<0.05), and the NIHSS and Aβ levels in the group C were lower than those in the group A and group B (all P<0.05). There was no statistically significant difference in all items between the group A and group B. There was no statistically significant difference in the total incidence of adverse events among three groups. Conclusion: ESWT combined with CMT can improve motor function, balance ability, fall efficacy, walking ability, reduce NIHSS, regulate BDNF and Aβ in patients with PSH, without increasing adverse events. |
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